HomeMy WebLinkAboutPermit Mechanical 1985-12-4
.. RESI.T1AL"
APPLICATION/PERI1IT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
SPRINGFIELD
Job Loca.tion:
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CauA7
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Assessor:: Map /I
Subdivision:
CUner:
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.>:"/1 A/V1 I~L d. PI-.one:
Address:
City:
CLtm,
n Addition
n Remodet
n ,'-fobiZe Boma
Tc:r: Lot #
1Cj/-de9d
zip:
Describe r.'ork,: I' /
WtfJiaLcJrL
;t'\~
! -2 - if -~~ varuel; cro
/}
:;:~~:~on L':i ;,~~.
It is the responsibility of the permit holder to see that all. inspections are r.zade at ~h8 propel' tim€~ that each :ddr08S is re~~e
fl"Om the street, and that the permit card is located at the f"Pont of tho property.
-4!Jui!dirtg lX.vi=io~ approL'ed plan shell l~emain on t~ Buiiding Sit:; at all times.
PRf}r:5D~''!K...l.Qq INSPECTION REQUEST:CALL 726-3769 (rccorder) state your City desigr'.:zted job number, job (ICCI>CSS, type of in3pec-:icn
l"aqtlc8tcd ar:d when you :.!iU be zoeady for in8pcct"'~onJ Contractors or Ot.me::'"8 nane and phone number. Requests received cefera '1:00 ~
r."'iLl be rr.ade the same day;, requests made after '1:00 am will b3 trade the nc:::t :JOrking day.
Date of AppZicaticn
(..ont"ractors
Genel'al
Plwnbing
Electrical
,
Reaui.,.pd hYSDPcticns _.
O SITS INSPEC':'ION: To be trrlde alter
excavation, but prior to set up of
forms.
D, UNDERSLAB PLUMBING. ELECTRIC,lL &
MECHANICAL: To be made before any
. work is covered.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring ccncret.;.
D
'0
10
UNDERe.WUND PLUMBING, SEWER, W.1TER,
DRAIllAGE: To. be rm.::1e prior to fiZ-
Zir.g trenches.
UNDERFLOOR PLUf.$ING & MECHANICAL:
To bo rna.d6 pl'ior to installation of
floor insulc.tion or decking.
POST AND BEAM: To be rrade prior to
installation of floor insuLation or
deaking.
ROUGH P['lP.!BI!.'G. EJ.ECTR!CA!.. & MECH-
ANICAL: No work is to be cot.-ered
.ur.til these inspectior.s have\beer.
made and approve'::.
FI.~EPLACE: Prior to plc.cir.g facing
materials and before framing inspec-
tior:.
101' FRAJ!ING: Must be .requested after
approval of rough plwr.bing;, electn_
cal & mechani.::al. AU '1'Oofin.g
broaeing ~ chimneys, et.::. 17T'.J.st be
completed. !.'o work is to be con-
...: cealed until thiD inspection has
'b6~n made and approved.
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Siqr.ed:
Date:
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1;)-- Lf~r;r~
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Your Ci ty DeGi~.atcd Job Numba' Is:
U INSULATIONIVAP08 BARRIER INSPECTION.-
To be made alter all insuk:ti:m CC".d
. required vapor carriers are in place
but before any lath, gypsum board or
LXIll covering is apptied;, and beforc
any inGuZation is concealed.
D DRYWALL INSPECTION: To be made
after aU drywll. is in place,
but pl'ior to any tapin.g.
O MASONRY: Steel location, boiui
beam3;, grouting or verticals in
a.::cordance with U.B.C. Section
241~.
~~ODSTOVE: After installation is
impzeted.
O CURB & APPROACH AP.f?ON: Afte:> forms
are arected but prior to pouring
007l<:rete.
D
SIDEWALK & DRIt'EWAY: For all con-
crete paving within street right-
OPlXy;, to be made after all e:rca-
vating complete & fo~ wol'k & sub-
base matenal in p~c.
Lisc,/j
Exr>il'C8
Phone
O PENCE: Wher: compZ.;te -- Provide
gates or movable sections through
P.U,E.
D
)(51/;2 c:o
DEs'!OLITIO!.' OR ;',::JVE; BUILDI;,'GS
~ Sani -:ary 8e'.Jer capped ::::t pr:.opcrt":i lir.o
=:J Septi.:: tank p"~'?ed and filla~ Ltith J1'a"JS;
I Final - r.'hen cbave ittmls are cc:m:Jlstcd
---l and when d~olitior. is camplato or Bt~~-
ture moved and pr~3es cleaned up.
Mobi la Homes
:::J Blocking a1Ui Set-up
:::J Plumbing connections scwer and water
:::J Elcctl'ical Connection - Blocking, Bot-up
and plumbing connections nr~8t be approvec
before requesting elec:rical inspee:ion
.=J Aeces30ry Building
--, Final - I.fto:l" ;:':1rc1:es;, skirting;,
~ etc. are eample:o:d.
decks;,
o
FIlIAL PWI,:BIIIG
AlL pl"o,ject cor:di:ions, 'auch as the 1.'.nstaLZation of s:l"eet tl"Ges, co.':-rplo:.i.,:m of tite
requil"ed landsccpir.g;, etc.;, must be satisfied bcjore tho BUILDI/,'C FI:.'AL can be l"3quost:1d.
FIliAL I1E~HAIIICAL
o
FINAL BUILDING: The Final Building Inspection must be requoDted cltol" tho Pinal Plumbing
Electrical, and Mechar.ical InspectionlJ have been made and appl"ov2d.
FINAL ELECT,UCAL
;ALL /./ANHCLES AND CLEANOIlTS I/UST BE ACCESSIBLE, ADJUST!fEllT TO BE 1~1DE I.T /10 C~ST TO CI'!Y I P<z@' ! of 2
i JOB NO, rs //;2 6
Iz01'lc:
ILot Sq, FS.
i: of lot Coverag<
1.11 of Stories
,TotaL Height
Topography
I Lot Faces -
I
I P.l.
Worth
lEast
ISouth
IWest
T;;pelcor.st:-
I I Ener""
II
I I
I:
II
II
L-COG~
SOLARMESS REQ,-
Occupa"c~ ~
lITEM
I Main
I Garace
I SQ.FTG
Caroorot
ACCCBSOl"U
I
I
TOTAl VALUE
Is.D.c.
IVal.uc)
1.5 :r
Buitding Permit
Sta to Sw'charge
Total Chazogea
lITEM ~NO.
I Fi:tlires
I Residential (1 bath)
I Sanita~ Sewer
Water
I
I
I
Plumbing Pero:i t
State Surcr.arge
...:lota1- Charaes
lITEM
I !i0.1
I I
I I
'I .1
I Res. So. fto.
I Ne.u/Extend Circuits
I Tempora:ry Service
I
Ele~trical Permit
St:::te Supc'harqe
Total Charces
ITSIJ II/a. ; Fr:';;O
Furnace ETU' S
E=haus t Hood I I
Vent Fan I I
I I I
I Woodstove
I I I
Permit I3Suanca
Me::hanic:ll Permit
State Surcharac
I
Total Charaes
-- ENCROACHMENT -_
Sec-~ritu DZOO3it
Storage
I Maintena~e
I Permit
I Total Cha~~cs
I Curbcu:
! SideLJa!k
I Fen::e
I Electrical
1 .'>lobi Le Home
label
I TOTA~, AHOIJNT DUE:'
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I ,toO I
I (5, &,7) l -
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LOT TYPE
Interiol'
Corner
Panhandle
CUl-de-sac
x
VaZue
FEE
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ClJARCE
CHARGE
FEE
CHARGE
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I 1.5,00
'/5, (j()
Eedroor.:s:
So:u'ces
T;r::,a
Setbacks
l House I Cal'Qa(]
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h'cat
I Access.
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WateYOUpnl>:('r'
Ranpe-.' .
Fil'CDlacc
WooG:;tol;e
Fees
Building Value & Permit
This permit i3 gronted on the express condition that the sdid construotion
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Crdinance, l'egul.c.ting the ccnstru~ticn
and use of buildings, and m~y be suspended 01' revoked at cr.y time upon vie-
lation of any provisions of said Ordir4nces.
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Iplan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No perean chalZ construct, instal!, aLter or change any r~w or e=isting
plumbing 01' drainage system in whole Or in part, unless such percon is the
legal possessor of a valid plumber's licenseJ except tr.at a pe:oson tray do
plumbing work to property which is ownedJ leased or operated by the appli-
cant.
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Electrical Permit
Where State Law requires trAt the electrical work be done by an EZec:tricaZ
Contractor, the electrical portion of this pe~it shalZ r~t be valid until
the lahe! has b~en signed by the Electrical ~ontraator.
Mechanical
Permit
Pl.an Excrrrt.ner
uaT;e
I HAVE CAREFULLY EXAMINED the completed application for pennitJ and do
hereby aertify that all i~fo:rmation hereon is tr-ue and correct, and I
further certify that any ar.d all lJOrk perfom/ed shall be do:1e in acc:or-
danae :vith the Ordinances of the City of Spl'ingfieZd, and th~ La:.;s of tJ:a
State of OregQn p~rtaining to the work described herein, end that NO OCC~-
PAIICY will be nrde of any structure withou.t parmission of the Buildir.g Di-
vision. I further certify that only contractors ar.d c:npz."yecs who are in
~pliance ~ith ORS 701.05t will be used on this proj$at
,
sta ~~tS~~AqDtW\
Dat.
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